Invasive Candidiasis – Board-Style Questions

What this deck covers

invasive candidiasis in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. A tiny baby on day 18
2. Where else has it gone
3. Urine stops flowing
4. Fever after the count recovers
5. A negative culture
6. The riskiest child in the unit
7. Checking the brain in the tiniest
8. The new species on the ward
9. Yeast after an operation
10. The first drug for the newborn
11. The catheter that stays
12. Protecting the smallest
13. The older child in intensive care
14. Stepping down
15. How long to treat
16. A patch in the retina
17. The heart on the scan
18. After the unit

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Late-onset group B streptococcal infection, Spinal fluid, fundoscopy, and kidney and heart imaging, Acute tubular necrosis from the antifungal, Drug-induced hepatitis from the chemotherapy, They miss many cases, so they do not exclude it, A girl with asthma on a nebulised bronchodilator and high-flow oxygen, Older children clear Candida from the blood without treatment, Stop all central lines on the unit until it is cleared, Change the catheter and give no antifungal, An echinocandin, which penetrates the spinal fluid best, Keep it in, since the drug will sterilise it, Amphotericin B infusion for all babies with a line, An echinocandin, such as micafungin or caspofungin, Continue micafungin intravenously for six more weeks.

Clinical pearls from this deck

• Tiny baby, long line, cephalosporins: think Candida.
• Neonatal candidaemia: look in brain, eyes, kidneys, heart.
• Pelvic masses and falling urine: fungal balls.
• Fever as neutrophils recover plus target lesions: Candida.
• A negative culture does not exclude invasive Candida.
• Gut perforation plus parenteral nutrition: highest risk.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Infectious Disease case decks · pediatric reference values.